[Question #1429] Hiv

45 months ago
Hello Doctor, 

1) I am a male recently I had a sex with a women who is 'csw' which is condom protected we had both vaginal and anal sex over one hour of time with some intervals in between  does that keep me at risk 
2) we didnot use any condom in masturbating each other while she was masturbating my penis she applied some oil and with in 2-3 minutes lot of precum had came out from my penis and we were  deep kissing each other . Is that make me familiar with any std's
3) Am I under risk  from this exposure , I am unable  to judge myself . 
4) Are condoms 100% effective in preventing  hiv.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Welcome to the forum. Thanks for your question. Based on your description, my main response is to congratulate you on your responsibility for having only safe sex in this situation. This was a safe exposure and I don't recommend testing for HIV or other STDs. But of course you are free to get tested if the negative results would help reassure you, i.e. if my comments alone don't quite do so. Condoms work, when properly used and there is no obvious breakage. To your specific questions (which overlap one another, re-asking some of the same questions):

1,3)  This was a very low risk exposure. On average, under 1% of female sex workers have HIV -- and the odds usually are even lower than that, typically 1 in a thousand. So the chance is strong that your partner did not have HIV.

2) Neither HIV nor other STDs are transmitted by hand-genital contact, fingering, etc, or by kissing. Exposure to persons' mouths is always low risk; HIV is rarely transmitted from the mouth. Among other things, saliva kills HIV.

4) Condoms are not 100% effective, but the main reasons for failure are improper use (e.g. penile contact before putting on the condom) and breakage. Without these, the risk of HIV transmission is low enough that you can consider it zero. Also, as noted above, it is unlikely your partner had HIV.

If you decide you want HIV/STD testing, have a urine gonorrhea/chlamydia test at least 3-4 days after the event, and blood tests for HIV (a 4th generation test at 4+ weeks) and syphilis at 6+ weeks. However, as I said above, this is entirely optional. If somehow I were in your situation, I wouldn't do it. But it's up to you.

I hope this has helped. Let me know if anything isn't clear.

HHH, MD

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45 months ago
Thank you Doctor, I have questions for you,
1) Masturbating my penis with oil can be zero risk event as it is unprotected and lot of precum was out of my penis as she used some technique inorder to have the pleasure in seconds which have made me to ejaculate more precum for 5 min.
2) My friend had an exposure (Risky)three months ago  below are the results is he free from HIV .Can he go a head with sex with his partner.

Day 24 -- PCR RNA 
Day 41-- 4th gen
Day 76-- 4th gen
day 96-- 4th gen

all tests are NON Reactive 
No chlamydia, Gonorrhoea, Syphilis all were negative   at 96th day.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
1) Zero risk. As I said above, "Neither HIV nor other STDs are transmitted by hand-genital contact, fingering, etc,..."

2) Those negative results are conclusive. Your friend could have safely resumed sex after the second result, 4th gen at day 41. The 4th gen tests are conclusive any time 4 weeks or more after exposure.

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45 months ago
Thank you Doctor , I am happy to hear from you that I and My friend are free from HIV from the  exposures we had , Hope you continue your best in treating the clients with the best of science .
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Thank you for those kind words. That's why we're here!

Take care and stay safe.

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